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Schedule 1 Eligible Offences - Alberta · 1 Any of the following offences under the Criminal Code (Canada): ... 144 prison breach ... medical procedure 2.267

Jul 28, 2018

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Page 1: Schedule 1 Eligible Offences - Alberta · 1 Any of the following offences under the Criminal Code (Canada): ... 144 prison breach ... medical procedure 2.267

Schedule 1 Eligible Offences

Section of Criminal Description of Offence Code (Canada) 65 taking part in a riot 76 hijacking of aircraft 77 endangering safety of aircraft in

flight 78 taking on board a civilian aircraft

offensive weapons or explosive substances

80 failure to take reasonable care in respect of explosives where death or bodily harm results

81(1) intentionally causing death or bodily harm by explosive substance

86(2) careless use of firearm 151 sexual interference 152 invitation to sexual touching 153 sexual exploitation 155 incest 159 anal intercourse 160 bestiality 163.1 child pornography 170 parent or guardian procuring sexual

activity 173 indecent acts 175 causing disturbance, indecent

exhibition, loitering, etc. 212 procuring 215 failure to provide necessaries 218 abandoning child

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Schedule 1 AR 63/2004

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220 causing death by criminal negligence (excluding motor vehicle related offences)

221 causing bodily harm by criminal negligence (excluding motor vehicle related offences)

235 murder 236 manslaughter 239 attempted murder 244 causing bodily harm with intent 245 administering noxious substance 246 overcoming resistance to

commission of offence 247 setting traps likely to cause death or

bodily harm 248 interfering with transportation

facilities 262 impeding attempt to save life 264 criminal harassment 266 assault 267 assault causing bodily harm; assault

with a weapon 268 aggravated assault 269 unlawfully causing bodily harm 269.1 torture 270 assaulting a peace officer 271 sexual assault 272 sexual assault with a weapon, threats

to a third party or causing bodily harm

273 aggravated sexual assault 273.3 removal of child from Canada for

sexual purpose 279 kidnapping / illegal confinement 279.1 hostage taking 280 abduction of person under 16 281 abduction of person under 14 344 robbery 346 extortion 423 intimidation 423.1 intimidation of justice system

participant 430(2) mischief causing actual danger to

life 433 arson

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Schedule 2 AR 63/2004

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Schedule 2 Criminal Conduct Offences

1 Any of the following offences under the Criminal Code (Canada):

Section of Criminal Description of Offence Code (Canada) 46 treason 52 sabotage 64 riot 83.02 providing/collecting property for

terrorist activity 83.03 providing property/services for

terrorism 83.04 using or possessing property for

terrorism 83.18 participation in a terrorist group 83.19 facilitating terrorist activity 83.2 commission of offence for terrorist

group 83.21 instructing activity for a terrorist

group 83.22 instructing terrorist activity 83.23 harbouring/concealing a terrorist 85 use of firearm in an offence 87 pointing a firearm 88 possessing weapon for dangerous

purpose 89 carrying weapon at public meeting 90 carrying concealed weapon 96 possession of weapon obtained by

commission of an offence 99 weapons trafficking 100 possession for purposes of weapons

trafficking 103 import/export unauthorized weapons 104 unauthorized import/export of

weapons 117.01 weapons possession contrary to

order 144 prison breach 145 escape and being at large 146 permitting or assisting escape 171 householder permitting sexual

activity (with a minor) 179 vagrancy 210 keeping a bawdy-house 213 solicitation for prostitution

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Schedule 3 AR 63/2004

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233 infanticide 240 accessory after fact to murder 264.1 uttering threats 282 abduction contrary to custody order 283 abduction 318 advocating genocide 319 public incitement of hatred 348 breaking and entering 349 being unlawfully in dwelling-house 351 possession of break-in instrument 354 possession of property obtained by

crime 357 bringing into Canada property

obtained by crime 462.31 laundering proceeds of crime 463 attempts, accessories 464 counselling offence 465 conspiracy 467.11 participation in activities of criminal

organization 467.12 commission of offence for criminal

organization 467.13 instructing commission of offence

for criminal organization

2 Any offence listed in Schedule 1.

3 Any offence under the Controlled Drugs and Substances Act (Canada).

4 Any offence under the Crimes Against Humanity and War Crimes Act (Canada).

Schedule 3 Injury Schedule

Definitions 1 In this Schedule,

(a) “face” means the area in front of the ears and from the line of the jaw to and including the forehead;

(b) “muscle grade” refers to the American Spinal Injury Association’s 5 point Motor Index scale of grading muscle strength or weakness with the strength of 5 considered normal and 0 considered paralysis;

(c) “site” means the head, neck, torso or any limb;

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(d) “surgery” means surgical procedures generally performed in an operating room but does not include procedures commonly performed in an Emergency Department or a physician’s office.

General principles 2 The following principles are to be applied with respect to making a determination under this Schedule:

(a) all injuries must be verified and be a direct result of the offence committed against the victim and verified by a medical professional with the qualifications appropriate to the injury;

(b) removable prosthetic devices and aids such as eye glasses, dentures and prosthetic limbs are considered property and are not eligible for financial benefits;

(c) residual effects of injuries are to be assessed at the point of maximum medical improvement (MMI) as determined by a medical professional with the qualifications appropriate to the injury;

(d) lacerations and burns include any resulting scarring or disfigurement and any reduced mobility due to scarring;

(e) awards for injuries to underlying structures are inclusive of the related external structure injury or incisions for treatment or exploration;

(f) injuries with severity scores under 2.500 may be combined to a maximum severity score of 7.00 and awarded as a single injury of “multiple minor injuries”;

(g) the more severe neurological and psychological injuries include the less severe injuries or symptoms within the same group of injuries.

3 The severity of an injury is to be determined using the following table:

INJURY SEVERITY

Amputation

Head Ear, partial 14.255 Ears (over 25%) 28.510 Ears, partial, bilateral 21.383

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Ear, bilateral (over 25% of each) 42.766 Nose, partial 17.611 Nose (over 25%) 35.222

Lower limb Foot 40.200 Feet, bilateral 60.300 Leg, below knee 52.159 Leg, above knee 67.962 Legs, bilateral 90.091 Toe(s), one foot 12.283 Toes, bilateral 18.425

Upper limb Arm or hand, below elbow 55.634 Arm, above elbow 109.237 Arms or hands, bilateral 123.699 Finger, one joint 10.326 Finger 20.651 Fingers, multiple, one hand 41.303 Fingers, multiple, bilateral 61.954 Thumb 43.511 Thumbs, bilateral 65.267 Thumb and multiple fingers, one hand 50.071 Thumbs and multiple fingers, bilateral 111.329

External Structures

Bruise/abrasion Bruise(s), swelling and/or abrasion(s) 2.267 Bruise(s), swelling and/or abrasion(s), more than 2 sites 3.305 Bruise(s), swelling and/or abrasion(s) to over 40% of body 15.520 Loss of hair 0.013

Burns First degree burns, for each 1% of total body surface area burned 0.300 Second degree burns, for each 1% of total body surface area burned 0.750 Third degree burns, for each 1% of total body surface area burned 1.300 * Burns are awarded as a single injury based on the total severity score. * Minimum severity score for a third degree burn involving the face is 17.695. * Maximum severity score for burns is 92.500.

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Lacerations Lacerations not requiring sutures or similar medical procedure 2.267 Facial laceration(s) requiring sutures or similar medical procedure 17.695 * Add 1.2 to severity score per centimetre in length and/or 2.4 per square centimetre (open/jagged wound). * Maximum severity score for facial lacerations is 25. Non-facial laceration(s) requiring sutures or similar medical procedure, up to 4 centimetres in length and/or one square centimetre in area 4.426 Non-facial laceration(s) requiring sutures or similar medical procedure, over 4 centimetres in length and/or over one square centimetre in area 15.520 * Add 1 point to severity score for every 2 centimetres in total length of all laceration in excess of 10 centimetres. * Add 1 point to severity score per square centimetre of total open/jagged wound areas exceeding 3 square centimetres. * Maximum severity score for non-facial lacerations is 20.

Medical Conditions

Chlamydia, genital warts, gonorrhea and/or syphilis 5.776 Genital herpes, Hepatitis B, C or D, and/or HIV 20.078 Hepatitis B, C or D (disease) and/or HIV seroconversion 38.066 Pregnancy (must be confirmed by a physician) 35.845 Toxic effect of inhaled/injected/ingested substances 5.776 Toxic effect of inhaled/injected/ingested substances, permanent impairment 29.310

Neurological

Brain Brain stem contusion 45.279 Closed head injury 17.894 Closed head injury with cortical contusion (bruising of brain) 22.242 Cortex laceration 63.224 Concussion 2.887 Concussion, loss of consciousness 11.548 Post-concussion syndrome 17.894 Epidural hematoma/hemorrhage 42.417 Epidural hematoma/hemorrhage, requiring surgery 52.799 Other intracranial hematoma/hemorrhage 49.884 Other intracranial hematoma/hemorrhage, requiring surgery 60.950

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Subdural hematoma/hemorrhage 49.884 Subdural hematoma/hemorrhage, requiring surgery 60.950 Traumatic brain injury with single seizure 17.894 Traumatic brain injury with residual seizures, controlled 83.224 Traumatic brain injury with residual seizures, partially controlled 113.224 Traumatic brain injury with hemiparesis 149.364 Traumatic brain injury, residual physical, cognitive, psychosocial and/or psychosocial effects, capable of independent living (excludes concussion/post- concussion syndrome) 47.582 Traumatic brain injury, requires supervised living 149.364 Traumatic brain injury, fully dependent for activities of daily living (ADL) 217.299

Nerve Disturbance of sensation, localized, one or more sites 0.562 Cranial nerve palsy, singular 17.589 Cranial nerve palsy, multiple 24.818 Laryngeal nerve injury with paralysis of vocal cord(s) 40.342 Lower limb nerve injury, disruption of sensation, motor function preserved 0.562 Lower limb nerve injury, muscle grade 3 or higher 23.106 Lower limb nerve injury, muscle grade less than 3 40.436 Lower limb nerve injury, no motor or sensory function preserved 57.766 Torso nerve injury, disruption of sensation, motor function preserved 0.562 Torso nerve injury, disruption of sensation and motor function 20.347 Upper limb nerve injury, disruption of sensation, motor function preserved 0.562 Upper limb nerve injury, muscle grade 3 or higher 23.106 Upper limb nerve injury, muscle grade less than 3 40.436 Upper limb nerve injury, no motor or sensory function preserved 57.766

Spinal cord Cervical cord injury, disruption of motor/sensory function, resolved 0.562 Cervical cord injury, motor function preserved below neurologic level of injury, most of key muscles below level of injury have muscle grade of 3 or higher 108.650 Cervical cord injury, motor function preserved below neurologic level of injury, most of key

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muscles below level of injury have muscle grade of less than 3 162.975 Cervical cord injury, sensory function, not motor function, preserved below neurologic level of injury and extends through sacral segments S4-S5 195.569 Cervical cord injury, no motor or sensory function preserved below neurologic level of injury and extends through sacral segments S4-S5 217.299 Lumbosacral cord injury, disruption of motor/ sensory function, resolved 0.562 Lumbosacral cord injury, motor function preserved below neurologic level of injury, most of key muscles below level of injury have muscle grade of 3 or higher 53.330 Lumbosacral cord injury, motor function preserved below neurologic level of injury, most of key muscles below level of injury have muscle grade of less than 3 79.995 Lumbosacral cord injury, sensory function, not motor function, preserved below neurologic level of injury and extends through sacral segments S4-S5 95.995 Lumbosacral cord injury, no motor or sensory function preserved below neurologic level of injury extending through sacral segments S4-S5 106.661 Thoracic cord injury, disruption of motor/sensory function, resolved 0.562 Thoracic cord injury, motor function preserved below neurologic level of injury, most of key muscles below level of injury have muscle grade of 3 or higher 71.107 Thoracic cord injury, motor function preserved below neurologic level of injury, most of key muscles below level of injury have muscle grade of less than 3 106.661 Thoracic cord injury, sensory function, not motor function, preserved below neurologic level of injury and extends through sacral segments S4-S5 127.993 Thoracic cord injury, no motor or sensory function preserved below neurologic level of injury extending through sacral segments S4-S5 142.214

Oral

Dental Chipped tooth, requiring treatment 5.053 Damaged or loss of crown or fixed bridge/fixed appliance 10.105 Fractured or loss of tooth 10.105 Loosened and/or chipped teeth, no treatment required 1.011 Loosened teeth, requiring treatment 5.053 Loss of filling 5.053 * Multiple dental injuries are awarded as a single injury equal to the total award value (not severity score) of the individual injuries.

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Maximum benefit for dental injuries is the equivalent of 12 lost teeth.

Mouth Laceration of gum(s) or oral tissue injuries 2.267 Laceration of gum(s) or oral tissue injuries requiring sutures or similar treatment 4.426 Palate injury requiring surgery 33.986 Tongue, partial loss 21.756 Tongue, loss (over 25%) 43.511

Organs/Circulatory

Circulatory Vascular injury, hemodynamically stable 5.264 Vascular injury, hemodynamically stable, requiring surgery 15.939 Vascular injury, hemodynamically unstable 30.984

Organs Bladder, urethra and/or ureter injury, residual impairment 23.414 Chest and/or abdominal injury requiring surgery, includes laparotomy and/or thoracotomy 12.303 Esophageal injury requiring surgery 23.020 Heart/pericardial injury 21.711 Heart/pericardial injury, requiring surgery 38.084 Heart/pericardial injury, residual impairment 54.216 Internal organ injury 5.264 Intestinal injury requiring surgery 34.187 Kidney injury 16.034 Kidney injury requiring surgery 27.949 Kidney injury, loss of kidney and/or function 36.192 Kidney injury requiring dialysis 63.018 Liver injury, including gall bladder, requiring surgery, includes partial removal 31.236 Liver injury, including gall bladder, loss in excess of 50% 50.141 Lung injury, loss of less than 50% of total lungs 27.108 Lung injury, loss of 50% or more of total lungs 54.216 Lung injury, permanent loss of pulmonary function in excess of 25% 27.108 Lung injury, permanent loss of pulmonary function in excess of 50% 54.216 Pancreas injury requiring surgery 27.949 Pancreas injury with loss of function (pancreatitis, diabetes) 63.018 Pneumothorax/hemothorax (collapsed lung), one or both lungs, requiring chest tube(s) 17.307

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Spleen injury requiring surgery 11.339 Spleen, loss of 23.408 Stomach injury requiring surgery 30.693

Psychological

Acute stress disorder and/or adjustment disorder 5.776 Anxiety and/or depressive symptoms 2.310 Brief psychotic disorder 8.617 Brief psychotic disorder with phobic features 17.894 Generalized anxiety disorder and/or somatoform disorder 8.671 Panic disorder 8.671 Panic disorder with phobic features 17.894 Posttraumatic stress symptoms 2.310 Posttraumatic stress disorder, (GAF 61 and higher) 8.671 Posttraumatic stress disorder, (GAF 50 or less) 56.445 Posttraumatic stress disorder, (GAF 51 to 60) 36.460 Psychological disorder as a result of sexual assault (see note for calculation) 8.671 Reactive depression, (GAF 61 and higher) 8.671 Reactive depression, (GAF 50 or less) 56.445 Reactive depression, (GAF 51 to 60) 36.460 Traumatic psychological injury, (GAF 51 to 60) 36.460 Traumatic psychological injury, (GAF 50 or less) 56.445 * Psychological injuries with a severity of 25 or higher require diagnosis by a psychiatrist or chartered psychologist.

* GAF is the Global Assessment of Functioning as described in the Diagnostic and Statistical Manual, 4th revision (DSM-IV) which defines

(a) GAF 61 or higher – some mild symptoms (e.g. depressed mood and mild insomnia) OR some difficulty in social, occupational or school functioning (e.g. occasional truancy or theft within the household) but generally functioning pretty well, has some meaningful interpersonal relationships;

(b) GAF 51-60 – moderate symptoms (e.g. flat affect, circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational or school functioning (e.g. few friends, conflicts with peers or co-workers);

(c) GAF 50 or less – at best, serious symptoms (e.g. suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational or school functioning (e.g. no friends, unable to keep a job).

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* The “Psychological disorder arising from sexual assault” injury may be adjusted for the following factors:

(a) victim was under 18 years old at the time of assault;

(b) more than 5 episodes of assault;

(c) assault involved vaginal or anal penetration, multiple aggressors, ritual or weapons.

* If one of the factors is present, the award value for this injury’s severity score is increased 50%. * The presence of 2 factors increases the award by 100%. * The presence of all 3 factors increases the award by 200%. * The calculation applies to this injury description only.

The psychological injury award to a victim of sexual assault is the higher of this calculation or the award value of the injury as verified by the psychological diagnosis.

Reproductive

Genitalia injury including contusions, abrasions and/or lacerations 3.305 Genitalia injury requiring surgery and/or sutures 17.903 Penis, loss of 30.924 Testicle, loss of one 21.260 Testicle, loss of both 38.655 Uterus injury 16.736 Uterus injury, requiring surgery, including hysterectomy 38.655

Sensory

Ear/Hearing Hearing loss and/or tinnitus, resolving within 2 weeks of treatment 1.473 Hearing loss and/or tinnitus, unilateral, resolved 2.946 Hearing loss, bilateral, resolved 5.892 Hearing loss, unilateral, partial (up to 50%) 14.091 Hearing loss, unilateral (over 50%) 30.509 Hearing loss, bilateral, partial (up to 50% each ear) 28.l82 Hearing loss, bilateral (over 50% in one ear) 44.600 Hearing loss, bilateral (over 50% in both ears) 61.018 Perforated tympanic membrane (ear drum), no permanent hearing loss 2.946 Tinnitus, unilateral 14.091 Tinnitus, bilateral 28.182

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Eye/Vision Diplopia (double or blurred vision), resolved 6.625 Diplopia (double or blurred vision) 30.863 Eyelid injury with epiphora (tearing) and/or eyelid dysfunction, includes eyelid laceration 5.741 Eyelid injury, bilateral, with epiphora (tearing) and/or eyelid dysfunction, includes eyelid laceration 8.612 Non-penetrating injury to eye, includes corneal abrasion 0.939 Non-penetrating injury to both eyes, includes corneal abrasion 1.408 Penetrating wound to eye, resolved 24.501 Penetrating wound to both eyes, resolved 36.751 Retinal detachment 32.874 Ruptured globe 32.874 Subluxation of one lens 6.625 Subluxation of both lenses 9.938 Traumatic cataract, one eye 25.367 Traumatic cataract, both eyes 38.050 Vision loss, resolved within 2 weeks of treatment 1.408 Vision loss, partial, one eye 25.367 Vision loss, partial, both eyes 38.050 Vision loss, best corrected visual acuity 20/50 to 20/200, one eye 38.050 Vision loss, best corrected visual acuity 20/50 to 20/200, both eyes 69.275 Vision loss, best corrected visual acuity 20/200, one eye or loss of one eye 69.275 Vision loss, best corrected visual acuity 20/200, both eyes or loss of both eyes 115.255

Taste/smell Loss of taste and/or smell, partial 11.273 Loss of taste and/or smell 28.182

Skeletal

Face Fracture(s), mandible (lower jaw) 9.284 Fracture, mandible (lower jaw), requiring surgery 34.795 Fractures, mandible (lower jaw), multiple, requiring surgery 43.557 Fracture(s), maxilla, malar and/or zygoma (upper jaw/cheek), unilateral 24.479 Fracture(s), maxilla, malar and/or zygoma (upper jaw/cheek), unilateral, requiring surgery 39.175 Fractures, maxilla, malar and/or zygoma (upper jaw/cheek), bilateral 36.719

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Fractures, maxilla, malar and/or zygoma (upper jaw/cheek), bilateral, requiring surgery 58.763 Fracture, nose 6.411 Fracture, nose, requiring surgery 12.822 Fracture, orbit (eye socket) 8.014 Fracture, orbit (eye socket), requiring surgery, includes blow out fracture 36.150 Fractures, 3 or more facial bones, requiring surgery 68.213 Fracture(s), other facial 8.014 Fracture(s), other facial, requiring surgery 33.986

Head Fracture, skull 9.465 Fracture, skull, depressed 19.893 Fracture, skull, requiring surgery 34.602

Lower limb Fracture, calcaneus (heel) 8.871 Fracture, bimalleolar (ankle) 13.195 Fracture, bimalleolar (ankle), requiring surgery 39.589 Fracture, malleolar (ankle) 7.249 Fracture, malleolar (ankle), requiring surgery 13.296 Fracture, trimalleolar (ankle) 41.282 Fracture, trimalleolar (ankle), requiring surgery 51.570 Fracture, femur (upper leg) 41.420 Fracture, femur (upper leg), requiring surgery 44.335 Fracture, femur (upper leg) and tibia and/or fibula (lower leg) 47.455 Fracture, metatarsal (foot) 7.045 Fracture, metatarsal (foot), multiple bones 10.622 Fracture, metatarsal (foot), requiring surgery 27.012 Fracture, metatarsal (foot), multiple bones, requiring surgery 33.703 Fracture, patella (kneecap) 8.827 Fracture, tibia or fibula (lower leg) 10.200 Fracture, tibia and fibula (lower leg) 16.256 Fracture, tibia or fibula (lower leg), requiring surgery 15.511 Fracture, tibia and fibula (lower leg), requiring surgery 38.453 Fracture, toe(s) 4.021 Fracture, toe(s), requiring surgery 5.167

Spine Fracture, cervical vertebrae (neck) 33.481 Fracture, cervical vertebrae (neck), requiring surgery 53.988 Fractures, cervical vertebrae (neck), multiple 49.206

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Fractures, cervical vertebrae (neck), multiple, requiring surgery 81.071 Fractures, cervical and thoracic/lumbar vertebrae (neck and back), multiple 49.206 Fractures, cervical and thoracic/lumbar vertebrae (neck and back), multiple, requiring surgery 81.071 Fracture(s), sacrum and/or coccyx (tailbone) 9.734 Fracture(s), sacrum and/or coccyx (tailbone), requiring surgery 10.773 Fracture(s), spinous process 4.287 Fracture, thoracic or lumbar vertebrae (back) 10.207 Fracture, thoracic or lumbar vertebrae (back), requiring surgery 31.832 Fractures, thoracic or lumbar vertebrae (back), multiple 15.311 Fractures, thoracic or lumbar vertebrae (back), multiple, requiring surgery 47.747 * Spinal fractures exclude spinal cord and/or neurological injuries.

Torso Fracture(s), clavicle (collar bone) 3.842 Fracture(s), clavicle (collar bone), requiring surgery 10.105 Fracture, hip/pelvis 34.634 Fracture, hip/pelvis, requiring surgery 38.483 Fracture, hip/pelvis, residual impairment 41.695 Fracture, hip/pelvis, requiring surgery, residual impairment 46.328 Fracture, rib 5.850 Fracture, ribs, 2 7.392 Fracture, ribs, 3 or more 10.105 Fracture(s), scapula (shoulder blade) 6.569 Fracture(s), scapula (shoulder blade), requiring surgery 13.137 Fracture, sternum (breast bone) 6.355 Fracture, sternum (breast bone), requiring surgery 23.343 Rib loss or partial loss 7.671 Rib loss or partial loss, multiple 23.343

Upper limb Fracture, humerus (upper arm) 13.118 Fracture, humerus (upper arm), requiring surgery 23.165 Fracture, humerus (upper arm) and ulna and/or radius (lower arm) 40.905 Fracture, metacarpal (hand) 8.246 Fracture, metacarpal (hand), requiring surgery 31.615 Fracture, metacarpals (hand), multiple bones 12.432 Fracture, metacarpals (hand), multiple bones, requiring surgery 39.446

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Fracture, phalanx (finger(s) and/or thumb) 4.552 Fracture, phalanx (finger(s) and/or thumb), requiring surgery 5.848 Fracture, ulna or radius (lower arm) 9.212 Fracture, ulna and radius (lower arm) 11.225 Fracture, ulna and/or radius (lower arm), requiring surgery 30.684 Fracture, wrist (carpal bones) 13.662

Tendon/ligament/cartilage

Head/neck Displaced disc, traumatic 15.841 Displaced discs, multiple, traumatic, including thoracolumbar (torso) discs 23.762 Fractured larynx and/or trachea 7.635 Fractured larynx and/or trachea, permanent impairment 25.355 Sprain/strain, neck (whiplash) 5.236 Temporomandibular joint (TMJ) (jaw) injury 6.051

Lower limb Crush injury, leg and/or foot, soft tissue injury, no fracture 10.658 Dislocation, hip 7.550 Foot, ankle or knee injury, permanent loss of more than 50% of function/joint mobility 37.130 Hip injury, permanent loss of more than 50% of function/joint mobility 40.380 Sprain/strain or dislocation, ankle 2.639 Sprain/strain or dislocation, foot 2.576 Sprain/strain or dislocation, knee 3.583 Sprain/strain, hip 3.583 Torn/lacerated tendon, ligament and/or cartilage, lower limb 3.583 Torn/lacerated tendon, ligament and/or cartilage, lower limb, requiring surgery 17.033

Torso Displaced disc, traumatic 15.841 Displaced discs, multiple, traumatic, including cervical (neck) discs 23.762 Sprain/strain, chest 2.887 Sprain/strain, back 5.400

Upper limb Crush injury, arm, soft tissue injury, no fracture 11.907 Crush injury, hand, soft tissue injury, no fracture 23.995

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Crush injury, finger(s), includes permanent loss/reduced function, soft tissue injury, no fracture 18.023 Dislocation, elbow 4.301 Dislocation, finger(s) and/or hand 2.434 Dislocation, wrist 4.485 Hand, wrist or elbow injury, permanent loss of more than 50% of function/joint mobility 37.130 Shoulder injury, permanent loss of more than 50% of function/joint mobility 38.213 Sprain/strain or dislocation, shoulder and/or rotator cuff 3.439 Sprain/strain, elbow 3.122 Sprain/strain, finger(s) and/or hand 1.826 Sprain/strain, wrist 3.552 Torn/lacerated tendon, ligament or cartilage, upper limb 3.552 Torn/lacerated tendon, ligament and/or cartilage, upper limb, requiring surgery 15.552

Schedule 4 Financial Benefit Awards

Awards

Severity Range Amount 0 to 2.499 $0 2.500 to 4.999 500 5.000 to 8.499 1000 8.500 to 11.999 1500 12.000 to 14.999 2000 15.000 to 18.499 2500 18.500 to 19.999 3000 20.000 to 22.499 4000 22.500 to 27.499 5000 27.500 to 29.999 6000 30.000 to 32.999 7000 33.000 to 37.999 8000 38.000 to 39.999 9000 40.000 to 40.999 10 000 41.000 to 46.999 12 000 47.000 to 49.999 14 000 50.000 to 56.999 16 000 57.000 to 59.999 18 000 60.000 to 64.999 20 000 65.000 to 68.499 25 000 68.500 to 69.999 30 000 70.000 to 79.999 35 000 80.000 to 89.999 40 000

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90.000 to 99.999 45 000 100.000 to 109.999 50 000 110.000 to 119.999 55 000 120.000 to 129.999 60 000 130.000 to 149.999 70 000 150.000 to 169.999 80 000 170.000 to 189.999 90 000 190.000 to 209.999 100 000 210.000 or higher 110 000